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Policy notifications posted as of August 19, 2011 

September 1, 2011    


All policies are posted prior to their effective date. Below is a listing of the policy notifications that we have posted to our website as of August 19, 2011.
Policy effective date Notification title Notification issue date
August 19, 2011 08.00.92b Coagulation Factors for Hemophilia July 20, 2011
August 19, 2011 07.00.03i Full-Body Monoplace or Multiplace Chamber Hyperbaric Oxygen Therapy July 20, 2011
August 19, 2011 08.01.00 Hydroxyprogesterone Caproate Injection as a Technique to Reduce the Risk of Preterm Birth in High-Risk Pregnancies July 20, 2011
August 19, 2011 11.15.23 Transforaminal Epidural Nerve Block Injections July 20, 2011
August 22, 2011 11.06.09 Labiaplasty July 22, 2011
August 24, 2011 09.00.36f First-Trimester Prenatal Screening for Fetal Aneuploidy May 26, 2011
August 31, 2011 11.01.06 Bone-Anchored (Osseointegrated) Hearing Aids, Implantable Bone-Conduction Hearing Aids, and Semi-Implantable Hearing Aids June 1, 2011
September 1, 2011 00.01.52 Always Bundled Procedure Codes June 3, 2011
September 1, 2011 11.05.02f Blepharoplasty, Repair of Blepharoptosis, Repair of Brow Ptosis, and Canthoplasty/Canthopexy June 3, 2011
September 1, 2011 10.02.02e Chiropractic Spinal and Extraspinal Manipulation Therapy June 1, 2011
September 1, 2011 00.01.47 Inpatient Hospital Readmission August 2, 2011
September 1, 2011 10.03.01b Physical Medicine and Rehabilitation Services June 1, 2011
September 1, 2011 11.08.13e Rhytidectomy and/or Cervicoplasty With or Without Liposuction and/or Platysmaplasty August 1, 2011
September 1, 2011 11.02.01h Treatment of Varicose Veins of the Lower Extremities and Perforator Vein Incompetence June 8, 2011
September 2, 2011 05.00.72 Upper-Limb Prostheses August 3, 2011
September 14, 2011 07.10.04a Parenterally Administered Terbutaline Sulfate for the Prevention or Treatment of Pre-Term Labor August 15, 2011
October 1, 2011 00.03.07 Laboratory Services for Members Enrolled in Health Maintenance Organization (HMO) or Health Maintenance Organization Point-of-Service (HMO-POS) Products July 1, 2011
October 1, 2011 11.08.20h Wound Care: Bioengineered Skin Substitutes July 1, 2011
October 4, 2011 08.00.44i Zoledronic Acid (Zometa®, Reclast®) July 6, 2011
October 5, 2011 11.08.06f Abdominoplasty and/or Panniculectomy July 7, 2011
October 27, 2011 00.10.18g Modifiers for Assistant-at-Surgery Services: 80, 81, 82, and AS July 29, 2011
November 16, 2011 03.00.32 Modifier 52 Reduced Services August 18, 2011

To view the policy notifications, go to www.ibx.com/medpolicy, select Accept and Go to Medical Policy Online, and click on the Policy Notifications box. You can also view policy notifications using the NaviNet® web portal by selecting Reference Materials and Reports from the Plan Transactions menu, then Medical Policy<.i>. Once these policies are in effect, they will be available by using the Search box on the Medical Policy homepage. Be sure to check back often, as the site is updated frequently.

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